Part 3: IT in Nursing Flashcards
Are raw, uninterrupted facts without
meaning
Data
Is facts with meaning
Information
Is understanding the information
Knowledge
Is knowledge used to make
appropriate decisions and acting on those
decisions
Wisdom
The ___
moves from data to information to knowledge
to wisdom with constant interaction within and
across these concepts as well as the environment.
Nelson data to
wisdom continuum
\_\_\_\_and \_\_\_\_\_\_ allow the nurse to understand the meaning and importance of those data and to make decisions about nursing actions with regard to the information.
Context
Pattern knowledge
While data by themselves are meaningless,
_____and ___, by definition,
are meaningful.
information
knowledge
When the nurse uses knowledge to make
appropriate decisions and acts on those
decisions he or she exhibits ______.
wisdom
3 states of data
Data at rest
Data in use
Data in motion
What state?
-Data on a storage device
Data at rest
What state?
Data that a database
program is reading or writing
Data in use
What state?
Data moving between
applications, over the network, or over the
Internet
Data in motion
An organized collection of related data.
Database
Placing notes in folders and folders in file
cabinets is an example of creating a paper
____.
database
Basic ____can be aggregated and
summarized to produce new ____and
information that a different set of users may
use.
data
The possibility of finding databases depends on the four important factors: (1) The \_\_\_\_\_(indexing) and \_\_\_\_\_ schemes (2) The \_\_\_\_and \_\_\_\_\_of the database (3) The\_\_\_\_\_\_within the database (4) The database search \_\_\_\_\_
data naming …organizational
size …complexity
type of data
methodology
Types of data that Reflects how users
view the data. The source of the data may be
its basis.
Conceptual Data Types
Types of data that May include financial data,
patient data, or human resource data
Conceptual
data classifications
Types of data that that utilizes Alphanumeric
data which include letters and numbers in any combination;
Computer Based Data Types
Types of Computer Based Data: a. b. c. d.
Alphanumeric Data
Numeric Data
Date and Time
Logic Data
COMMON APPROACHES TO ORGANIZING DATA INCLUDE: a. b. c. d.
Sorting
Classifying
Summarizing
Calculating
DATABASE MANAGEMENT SYSTEM (DBMS) are computer programs that are used to: 1. 2. 3. 4 5.
Input Store Modify Process Access Data
Before you can use a _____, you must first
create the structure for the database using
the data elements necessary to manage the
data specific to the project.
DBMS
The process of configuring the database soft
ware is called _____-
database system design
Once you configure the database for the
project, you use the _______ to
enter the project data into the computer.
database software
A functioning DBMS consists of three interacting parts: (1) (2) (3)
The data
The designed database
The query language that you use to
access the data
Advantages of an automated DBMS include
(1) Decreased _____
(2) Increased ______
(3) Improved______
data redundancy
data consistency
access to all data
In a DBMS, _____describe the type of data expected in the related field
Fields
In a DBMS, _____represent a record of the data in each of the fields of the database
Rows
In a DBMS,_____ are assigned a primary identifier
Records
Also known as primary key or unique
identifier
Records
All the records together in a table constitute a
_____, a set of related records that have the
same data fields.
File
A database consists of several _____that the
DBMS can then search across the tables or
files to find data related to any one entity in
the database as long as they share a
common identifier.
Files
The functions of a DBMS are to
(1) ___the data
(2) ____the records
(3) Provide _____ of the data
(4) Permit ___generation
Store
Update
easy retrieval
report
(DBMS: Common Database Operations)
Input new data,, Update data, Change or modify data: ____
Data input operations
(DBMS: Common Database Operations)
information extraction, discover new meanings, reorder data: _______
Data processing processes
(DBMS: Common Database Operations)
Online and written reports, Processed data as charts and graphs: ______
Data output operations
A large collection of data imported from
several different systems into one database
Data Warehouses
The source of the data includes not only
internal data from the institution;
Can also include data from external sources
Data Warehouses
One might develop a_____ with the
historical data of a department or a small
group of departments
data mart
It can be developed by
exporting a subset of the data from the data
warehouse
data mart
Its purpose is to spare users from the need to learn several different applications
Data Warehouse
Its purpose is to separate the analytical and
operational processing
Data Warehouse
Its purpose is to provide an architectural design for the data warehouse that supports decisional information needs
Data Warehouse
Its purpose is to allow the user to slice and dice the data from different
angles and at different levels of detail
Data Warehouse
Functions to extract data from the various computer systems and import those data into it
Data Warehouse
Functions as a database able to store
and process the data in the database
Data Warehouse
Functions to deliver the data in the
warehouse back to the users in the form of
information
Data Warehouse
The process one uses to make realistic,
quality decisions using the available data.
Data Analytics
____ involves a systematic examination
and evaluation of data to uncover
interrelationships within the data, thereby
producing new insights and information.
Analysis
Its process usually involves breaking the
data into smaller parts to better understand the area of concern.
Data Analytics
___is when the data
includes administrative data that relates to
the day to day operation of the institution, as
well as strategic or long range planning data.
Business Intelligence (BI)
_____ is an environment for data
analysis and visualization.
R Project
______ is used for cleaning and rearranging
data.
DataWrangler
_____ is used for working with .csv files
CSVKit
Systems process data and then present it in a________ - a
visual layout so that one can easily visualize the
information and the interrelationships for the
purpose of decision making and benchmarking.
Dashboards
A visual display of the most important information
needed to achieve one or more objectives,
consolidated and arranged on a single screen so
the information can be monitored at a glance.
Dashboards
______________
refers to a set of systems for the entire healthcare
services encompassing patient care as well as
services for the early detection of disease,
prevention of health problems and promotion
of wellness, at any location.
Healthcare Information Systems
An information system that facilitates the
activities of a hospital takes into consideration:
The functions of a _____
The capability of_____
health care facility
information technology
In general, information systems of a healthcare facility facilitate two main group of activities, functions and services i.e.: 1. The \_\_\_\_ of providing healthcare to its clients. 2. Managing the hospital as a\_\_\_\_\_, a provider of hospitality \_\_\_and a \_\_\_\_\_ facility.
core business
business entity
services
physical
The Hospital Information System is focused
primarily on the ______of the
hospital
Operations Management
2 Broad Systems of a Hospital Information System
Information System for Patient Care
Managerial Information System
3 Components of Information System for Patient Care
System for clinical services
System for clinical support services
System for patient/client management
OBJECTIVES & FUNCTIONS OF PATIENT CARE
INFORMATION SYSTEM: (QA PEEPS)
Quality
Appropriateness
Productivity Effectiveness Efficiency Privacy and confidentiality of information Safety
Its function is to guide and enable the performance of patient care
processes
Computerized Information System
Its function is to Facilitate communication between care providers
through sharing of information
Computerized Information System
Its function is to Enable automation of work processes through links
within it, integration with other components of the
hospital information system and interfacing with other
computers, machines, printers and scanners
Computerized Information System
Its function is to Provide clinical decision support at point of care
Computerized Information System
Its function is to Gather, store and make available vital clinical information (individual and aggregated) for primary and secondary use
Computerized Information System
Its function is to Maintain a permanent record of events and all activities of patient care (as the electronic medical record and other documents based on medico legal requirements)
Computerized Information System
The _____ consists of:
- Patient/Client Management (Administration) Information System
- Clinical Information System (CIS)
- .Clinical Support Systems
- Bridging or intermediary systems
- Applications that support Clinical Governance
- Means of supplying data to external organizations
Patient Care information System
In a PCIS, where does this belong?
CIS for various specialties
Clinical Information System (CIS)
In a PCIS, where does this belong?
Clinical Documentation
Clinical Information System (CIS)
In a PCIS, where does this belong?
Clinical Decision Support
Clinical Information System (CIS)
In a PCIS, where does this belong?
Centralized Continuous Monitoring System
Clinical Information System (CIS)
In a PCIS, where does this belong?
Electronic Medical Record
Clinical Information System (CIS)
In a PCIS, where does this belong?
Laboratory Information System
Clinical Support Systems
In a PCIS, where does this belong?
Blood Banking Information System
Clinical Support Systems
In a PCIS, where does this belong?
Radiology Information System
Clinical Support Systems
In a PCIS, where does this belong?
Pharmacy Information System
Clinical Support Systems
In a PCIS, where does this belong?
Food and Beverage Supply System
Clinical Support Systems
In a PCIS, where does this belong?
Operation Theatre Suite Information System
Clinical Support Systems
In a PCIS, where does this belong?
Sterilization and Sterile Inventory Supplies System
Clinical Support Systems
In a PCIS, where does this belong?
Order Entry - Result Reporting System (CPOE)
Bridging or intermediary systems
In a PCIS, where does this belong?
Patient Information Database Management System
Bridging or intermediary systems
In a PCIS, where does this belong?
Clinical Managerial Decision Support Application
Applications that support Clinical Governance
In a PCIS, where does this belong?
Quality and Productivity Management Application
Applications that support Clinical Governance
In a PCIS, where does this belong?
Infection Prevention and Control Application
Applications that support Clinical Governance
In a PCIS, where does this belong?
Clinical Data Extraction and Reporting Application
Applications that support Clinical Governance
The ____facilitates direct
patient care i.e. activities where care providers i.e. mainly doctors and nurses but also includes Dietitians, Therapists, Clinical psychologists, Clinical pharmacists, Clinical Microbiologists, Interventional Radiologists, Endoscopists, Optometrists, Audiologists and many others.
Clinical Information System (CIS)
A good ______ provides assistance and guidance for clinicians to perform their work besides capturing pertinent data that is
generated.
Clinical Information System (CIS)
Contains application modules (however named)
that enable the Planning of care (use of Care Plans)
and Provision of Clinical Decision Support
Clinical Information System (CIS)
Contains application modules (however named)
that enable Clinical Data Documentation (Data entry)
and Quality Control
Clinical Information System (CIS)
Contains application modules (however named)
that enable Data Storage,
Data Retrieval, and Display
Clinical Information System (CIS)
the Clinical
Information System and the various Clinical Support
Systems are built around key bridging (intermediary)
components: (5)
- Patient Administration/Management System (Scheduling, Resource allocation)
- Order Entry Result Reporting Application
- Database Management System
- Electronic Medical Record
- A common user system interface (front end screen, GUI)
The Managerial Information System refer to the set
of sub systems and applications that assist
managers in running the hospital as a: (3)
business entity
provider of hospitality services
physical facility
General Administration Information System Office
Automation is a component of a _______
Managerial Information System
Charging, Billing and Receipt of Payment (
System is a component of a _______
Managerial Information System
Human Resources Management System is a component of a _______
Managerial Information System
Finance and Budgetary Systems is a component of a _______
Managerial Information System
Consumables Purchasing and Inventory System is a component of a _______
Managerial Information System
Areas where patients require complex
assessment, high intensity medication,
continuous therapy and interventions, and
unrelenting nursing attention and continuous
watchfulness.
Hospital/Critical Care Applications
Provide real
time resource utilization data
and management of information and access
critical care areas through the integration of
the medical facilities in the critical care or
intensive care unit to an intelligent computer
system which is capable of processing all
data.
Critical Care Information System
Enables the electronic collection of hospital
and patient specific critical care data of the
entire patient in the critical care areas which
can be processed to create a patient profile
which generate real time and historical report
on indicators including bed occupancy,
delayed discharges, readmission rates, and
outcomes.
Critical Care Information System
Automated collection and management of
medical information will become the important
task of the ______
critical care information system.
Provides a generalized method of
attaching patient monitoring devices to a
common interface.
Medical Information Bus (MIB)
This interface converts the unique
manufacturer data communications protocol
into a standardized hardware and software
system.
Medical Information Bus (MIB)
It eliminates the need for custom connector and
software presently needed to interface such device.
Medical Information Bus (MIB)
Has the ability to filter, store and select information
sent for inclusion into the clinical medical record on
the clinical computer system. Infusion pumps,
ventilators, pulse, and other patient equipment are
now transmitting clinical information for use in clinical
data reporting and decision making.
Medical Information Bus (MIB)
Its advantage is that it Intelligently integrates and process physiologic and diagnostic information and
store it to secured clinical repository.
Critical care information system
Its advantage is that it creates trends analysis with graphical
representation of results.
Critical care information system
Its advantage is that Offline stimulation can be performed to test
the condition of the patients.
Critical care information system
Its advantage is that it provides a clinical decision support system
Critical care information system
Its advantage is that it provides access to vital patient information
Critical care information system
Its advantage is that it is providing feedback and quick evaluation of the patient condition and provides alert.
Critical care information system
Its advantage is that offline stimulation can be performed to test the condition of the patients.
Critical care information system
Its advantage is that it provides clinical decision support system
Critical care information system
Collective term for the methodical application
of information science and technology to
community and public health process.
Community Health
Information System
Focuses on the health information system of
the community, it is centered on the majority
part of the public.
Community Health
Information System
Emphasizes the prevention of the disease,
medical intervention and public awareness.
Community Health
Information System
Fulfils a unique role in the community,
promoting and protecting the health of the
community at the same time maintaining
sustainability and integrity of health data and
information.
Community Health
Information System
Its goal is effective and timely assessment that involves
monitoring and tracking the health status of
populations including identifying and
controlling disease outbreaks and epidemics.
Community Health
Informatics
Its goal is comprehensive directed towards the majority of individuals, families, and the community at
large.
Community Health
Informatics
Its primary focus is preventing, identifying, investigating and
eliminating communicable health problems.
Community Health
Information System
Its primary focus is accessibility of data and information, through communication
Community Health
Information System
Its primary focus is educating and empowering individuals to
adopt health life style
Community Health
Information System
Its primary focus is to facilitate the retrieval of data
Community Health
Information System
Its primary focus is the effective transformation of data into
information
Community Health
Information System
Its primary focus is the effective integration of information to other disciplined to concretized knowledge and
creates better understanding.
Community Health
Information System
Its primary focus is the Creation of computerized patient records, medical information system
Community Health
Information System
Its primary focus is the Central repositions of all data such as data warehouse
Community Health
Information System
Its primary focus is the Simple Graphical User Interface (GUI) for
nurses and other healthcare provider, patient
and consumer
Community Health
Information System
Its advantage is Consistent exchange of response
Integration of Community Health Systems
Its advantage is Disease tracking
Integration of Community Health Systems
Its advantage is Data and information sharing
Integration of Community Health Systems
Its advantage is Building strategies
Integration of Community Health Systems
Its advantage is Early detection and monitoring of disease and sickness
Integration of Community Health Systems
Its advantage is Control of spread of disease
Integration of Community Health Systems
Its advantage is National alertness and preparedness
Integration of Community Health Systems
Its advantage is Building strong communication
Integration of Community Health Systems
Its advantage is Maintaining strong relation between nurses and other healthcare provider
Integration of Community Health Systems
Its advantage is Continuous coordination of the healthcare professionals
Integration of Community Health Systems
Its advantage is Synchronization of the decisions
Integration of Community Health Systems
Its advantage is Streamlining of the process
Integration of Community Health Systems
Its advantage is Effective management of data and
information
Integration of Community Health Systems
Its advantage is Optimal operation of hospital and clinics
Integration of Community Health Systems
_______
is a multi component program (biomedical
device, electronic medical record system and
telemedicine training) designed to provide better
access to life saving health care services in
isolated and disadvantaged communities
nationwide.
RxBox
It is one among the Department of Science and
Technology’s efforts for a “Smarter Philippines”. It is
also an ICT (Information and Communications
Technology) innovation designed to support the
Department of Health’s call for Kalusugang
Pangakalahatan
or Universal Health Care.
RxBox
It is a telemedicine device capable of
capturing medical signals through built in medical
sensors, storing data in an electronic medical
record (Community Health Information Tracking
System CHITS), and transmitting health
information via internet to a clinical specialist in the
Philippine General Hospital for expert advice.
RxBox
Covers a wide range of health care services
that are provided for patients who are not
admitted overnight to a hospital.
Ambulatory care systems
These services are performed at outpatient
clinics, urgent care centers, emergency rooms,
ambulatory or same day surgery centers,
diagnostic and imaging centers, primary care
centers, community health centers, occupational
health centers, mental health clinics, and group
practices.
Ambulatory care systems
Provides automated processing of data and information such as allergies and medical alerts, patients accounting system such as charging, billing, discounts and concessions, diagnostics imaging treatments, and etc.
Ambulatory care systems
Its advantage is Real time and easy access to patient’s medical
records by healthcare providers.
Ambulatory care information system
Its advantage is Improved workflow, which allows more time for
comprehensive patient counseling and review.
Ambulatory care information system
Its advantage is Reduced errors with the availability of various
automation engines drug interaction engine;
medical alert engine; patient billing engine, etc.
Ambulatory care information system
Its advantage is Automated and integrated back end process such as pharmacy, billing, purchasing, inventory management, etc.
Ambulatory care information system
Its advantage is improved clinical outcome analysis enhanced research productivity through data mining and facilitate institutional handling of managed care
challenges in a timely manner.
Ambulatory care information system
Its advantage is Improvement in hospital inventory management.
Ambulatory care information system
Its advantage is Better monitoring and management of costs prescription, consumables, doctor’s fees, etc.
Ambulatory care information system
Its issues are Increased accountability, The need for continuous support, and Privacy and confidentiality of information
Ambulatory care information system
Its issues are Accessibility and security of data and information and Integration and support to the other system
Ambulatory care information system
What type of Ambulatory Software?
CureMD , eClinicalWorks, iSalus ,
athenaHealth , Meditouch , Allscripts
Ambulatory EHR/EMR
What type of Ambulatory Software?
Kareo , athenaHealth , AdvancedMD , Care360
Ambulatory Practice Management
What type of Ambulatory Software?
Bridge Patient Portal,
Solutionreach , Updox
Ambulatory Patient Portal
What type of Ambulatory Software?
Iridium Suite, Mercury
Medical, Medical Mastermind, NueMD
Ambulatory Medical Billing
____ is not only used in hospital but also in
disaster response.
Informatics
It can be used in tacking victims, Electronic
health records, supply inventory and surveillance
of threat detection.
Informatics
It helps in informing the volunteers about
the plans and reports.
Informatics
The World Health Organization identified that:
(1)
(2)
(3)
Are contributing to the realization that the health
sector must now integrate technology into its way of
doing business
Technological advances
Economic investment
Social and cultural changes
_____
is an emerging field of medical informatics,
Referring to the organization and delivery of health
services and information using the Web and related
Technologies.
eHealth
____is one example that utilizes
microelectronics in a wearable T shirt that
continuously monitors electrocardiogram waves
and heart rate.
VitalJacket
A system available today from ______ is a
wearable monitoring system that focuses on
weight loss, health, and fitness.
BodyMedia
The armband has sensors that collect heat flux,
galvanic skin response, skin temperature, as well
as an accelerometer.
BodyMedia
a remote monitoring platform that provides a
daily interface between care coordinators and
patients with chronic illnesses.
Health Buddy System
The appliance can also connect glucose meters,
weight scales, blood pressure cuffs, and other
medical devices so additional patient data are
sent to the healthcare professionals.
Health Buddy System
____has been used with a variety of
patients, including coronary artery bypass graft,
chronic heart failure, diabetes, and asthma.
Health Buddy System
Care providers’ access data that can provide an
early alert of warning signs that the patient is
deteriorating.
It addresses gaps in care before the patient
becomes critical.
Health Buddy System
_____ is broadening the role of nurses and
advancing their value in the chain of healthcare
delivery to consumers in remote regions or to
homebound patients.
Telenursing
______ via visual communication is
a technique that provides accessible care and
reduces both travel time and expense.
Home health nursing
_____is a component of telenursing
Teletriage
_____ have been developed as
a guide for the teletriage nurse assessing a
patient.
Decision support tools
These tools provide the nurse with structure
around the teletriage processes.
Decision support tools
Utilizing these ______, along with
nursing judgment and critical thinking skills,
helps to minimize risk when providing telephone
assistance.
decision support tools
